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pso.ahrq.gov/sites/default/files/wysiwyg/pso-policies-procedures-topics-to-address.pdf
July 01, 2021 - Patient Safety Organization's Policies and Procedures: Suggested Topics to Address
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www.ahrq.gov/news/newsroom/case-studies/201903.html
April 01, 2019 - Johns Hopkins Children’s Center Uses AHRQ-Funded I-PASS Tool to Boost Patient Safety
Search All Impact Case Studies
April 2019
Pediatric residents at Johns Hopkins Children’s Center in Baltimore, MD, changed the way they handed off patients between shift changes by closely adhering—sometimes by as much as …
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psnet.ahrq.gov/issue/crowdsourcing-diagnosis-patients-undiagnosed-illnesses-evaluation-crowdmed
November 13, 2024 - Study
Crowdsourcing diagnosis for patients with undiagnosed illnesses: an evaluation of CrowdMed.
Citation Text:
Meyer AND, Longhurst CA, Singh H. Crowdsourcing Diagnosis for Patients With Undiagnosed Illnesses: An Evaluation of CrowdMed. J Med Internet Res. 2016;18(1):e12. doi:10.2196/j…
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digital.ahrq.gov/2019-year-review/research-summary/smart-mobile-health-app-improves-screening-for-risks-and-protective-factors
January 01, 2019 - Smart Mobile Health App Improves Screening for Risks and Protective Factors for Pregnant Women
A screening tool for risk and protective factors during pregnancy can be integrated in clinic flow and improve customized discussions with pregnant women to improve outcomes for pregnant women and their babies.
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psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-clabsi-and-cauti-final-report
April 06, 2022 - Book/Report
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report.
Citation Text:
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and …
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psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety
December 24, 2008 - Multi-use Website
Guide to Patient and Family Engagement in Hospital Quality and Safety.
Citation Text:
Guide to Patient and Family Engagement in Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality; June 2013.
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psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors
June 22, 2022 - Commentary
Surgical data recording technology: a solution to address medical errors?
Citation Text:
Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433. doi:10.1097/sla.0000000000003510.
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digital.ahrq.gov/care-setting/hospital-inpatient
January 01, 2023 - Inpatient
Care Transitions App for Patients with Multiple Chronic Conditions
Description
This study will develop, evaluate, and disseminate a multicomponent intervention including a mobile health application and digital navigator training to support safe care transitions for p…
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psnet.ahrq.gov/issue/effect-collaboration-obstetric-patient-safety-three-academic-facilities
October 19, 2022 - Commentary
The effect of collaboration on obstetric patient safety in three academic facilities.
Citation Text:
Raab CA, Will SEB, Richards SL, et al. The Effect of Collaboration on Obstetric Patient Safety in Three Academic Facilities. Journal of Obstetric, Gynecologic & Neonatal Nursi…
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digital.ahrq.gov/2020-year-review/research-summary/creating-health-information-exchange-application-provide-fast-access-patient-data-emergency
January 01, 2020 - Creating a Health Information Exchange Application to Provide Fast Access to Patient Data in Emergency Department Settings
Integrating health information exchange (HIE) data directly into electronic health records has the potential to improve delivery of care and patient outcomes, as well as increase clinician sati…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/WJE2r5v4CHc9dMZ4GT7dnT
Clinical Summary: Screening for HIV Infection
Clinical Summary: Screening for HIV Infection
Population Adolescents and adults aged 15 to 65 years Pregnant Persons
Recommendation
Screen for HIV infection.
Grade: A
Screen for HIV infection.
Grade: A
Risk Assessment
Although all adolesc…
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psnet.ahrq.gov/issue/systems-approach-address-impact-second-victim-phenomenon
December 07, 2022 - Commentary
A systems approach to address the impact of second victim phenomenon.
Citation Text:
Gamble B, Gamble KJ. A systems approach to address the impact of second victim phenomenon. Health Serv Manage Res. 2022;35(2):110-113. doi:10.1177/0951484820971455.
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www.ahrq.gov/hai/cusp/clabsi-hpwpreport/index.html
August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions
Next Page
Table of Contents
High-Performance Work Practices in CLABSI Prevention Interventions
Case Studies
Key Findings
Conclusions
References
Table 1. Case Study Sites
Table 2. Summary of Key Informants, All Sites
Tabl…
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www.ahrq.gov/ncepcr/about/index.html
December 01, 2024 - About AHRQ's National Center for Excellence in Primary Care Research
Sign Up: NCEPCR and Primary Care Email Updates
The National Center for Excellence in Primary Care Research (NCEPCR) is the home for primary care research at AHRQ. NCEPCR is focused on strengthening the Nation's primary care system, provi…
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psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric
April 13, 2011 - Study
Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.
Citation Text:
Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. BMJ Qual Saf. 20…
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psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases
November 18, 2016 - Study
Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021.
Citation Text:
Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. J Patient…
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digital.ahrq.gov/ahrq-funded-projects/artificial-intelligence-and-human-factors-healthcare-quality-safety
September 30, 2024 - Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Project Description
By bringing together experts from academia, industry, and clinical practice to integrate human factors engineering (HFE) into artificial intelligence (AI) implementation and usage, this…
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psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
August 04, 2021 - Commentary
Classic
Continuous improvement as an ideal in health care.
Citation Text:
Berwick D. Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56.
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psnet.ahrq.gov/issue/delivering-high-reliability-maternity-care-situ-simulation-source-organisational-resilience
April 05, 2023 - Commentary
Emerging Classic
Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience.
Citation Text:
Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of organisa…
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psnet.ahrq.gov/issue/support-methods-healthcare-professionals-who-are-second-victims-integrative-review
April 27, 2022 - Review
Support methods for healthcare professionals who are second victims: an integrative review.
Citation Text:
Support methods for healthcare professionals who are second victims: an integrative review. Neft MW, Sekula K, Zoucha R, et al. AANA J. 2022;90(3):189-196.
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